Star, Jodi Ellen
Star, Jodi Ellen is an sole proprietor health care provider with primary practice located at Guiding Light Wellness Center 3319 State Road 7 Ste 210, Wellington FL 33449. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Star, Jodi Ellen can be contacted via phone (561) 422-3314.Contact Information
Primary practice address
Guiding Light Wellness Center 3319 State Road 7 Ste 210
Wellington FL 33449
Phone: (561) 422-3314
Fax: (561) 422-3315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME 85603 | Florida |
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | ME85603 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ME85603 | Florida |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME 85603 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 85603 | Florida |
Profile Details
| NPI number | 1184718504 |
|---|---|
| LBN Legal business name | Star, Jodi Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 1st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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